Dermal Fillers

2 Days Prior to Injections please avoid topical products such as Tretinoin (Retin-A), Retinol, Retinoids, Glycolic Acid, or any “anti-ageing” products.

24 Hours Prior to Injections. Do not drink alcohol 24 hours prior to your treatment

Discontinue blood-thinning medication for 7 days prior to treatment as they may increase your risk of bruising.

Eating pineapple for a few days before treatment may potentially reduce your risk of bruising as it contains an anti-inflammatory enzyme called bromelain.

Avoid facial laser and Derma Pen treatments for 2 weeks before and after treatment.

The following aftercare advice is essential to help reduce the risk of treatment complications, to improve your comfort/healing and to help achieve the best possible results from treatment.

Please follow the aftercare advice for dermal filler injections.

• Immediately after dermal filler injections the treatment area may be red, tender or swollen. The redness and tenderness should improve after 48 hours. Swelling is often worse on days 2-3 after injection, improved by day 5 and resolved by 2 weeks.
• For significant swelling contact your practitioner for advice. Swelling may be reduced by regular cold compress, anti-inflammatory medicines such as Ibuprofen (after 24 hours, if safe for you to take), antihistamines and sleeping with your head propped up on 3 pillows to help drainage of fluid overnight.
• Bruising is common following treatment; this will resolve naturally but may take up to 2 weeks to settle.
• Regular application of Arnica cream may be helpful for bruising.
• Tenderness is normal when the injected area is touched afterwards but active pain at rest is not normal.
• If you experience pain, you must contact your practitioner as soon as possible.
• Avoid any makeup for 24 hours after treatment as this will reduce the risk of infection.
• You may require a top-up appointment if there is some mild unevenness or discrepancies noticed once the initial swelling has resolved. Top-ups should not be done until 2 weeks, this is when all post-injection swelling would have resolved.
• Drink plenty of water after treatment to keep well hydrated.
• Avoid alcohol, caffeine, hot drinks and spicy food for 24 hours.
• Avoid medications such as aspirin or Ibuprofen for 24 hours as they are blood thinning agents and may worsen bruising (if these medications have been advised by your GP you must check with your GP before stopping them)
• Avoid supplements such as multivitamins, fish oils, glucosamine and Vitamin B or Vitamin E, which are blood thinning agents and may exacerbate bruising for 24 hours (if these supplements have been advised by your GP please check with your GP before stopping them)
• Avoid any excess sun exposure, extremes of hot/cold, saunas, swimming or strenuous exercise until the redness and swelling have settled.
• A rare complication of dermal fillers is vascular occlusion in which a blood vessel is accidentally blocked with filler. Signs and symptoms include throbbing and aching pain which can be severe, paleness, a cold feeling to the tissue and purple streaky mottling tissue changes. If you notice any of these symptoms you must contact your practitioner as soon as possible, they will guide you through how to perform a capillary refill test and then assess you fully and advise further action if required.
• You must seek medical attention and contact your practitioner if you experience any signs or symptoms of infection after treatment. Infection can present as hot, red shiny skin, there may be pus formation and you may have a fever or feel generally unwell.
• You must seek emergency medical attention if you experience any severe allergy symptoms after treatment. Symptoms may include rash, facial swelling and breathing difficulties.
• You must contact your practitioner in an emergency if you notice any visual disturbance or loss of vision after the filler injections.
• Contact your practitioner as soon as possible if you notice any other unwanted side effects.
• Results can be assessed at 2 weeks, by which any residual swelling will have settled.
• It is essential that you have read all of the information available

Hyaluronic acid dermal fillers have been shown to be safe and effective, results can last up to 12 months or longer. After initial treatment, a period of 2 weeks should be allowed for the filler to settle and for residual bruising and swelling to subside. At this 2-week point, you may require a small top-up if there is any slight unevenness or discrepancy present.

There is no guarantee that you will not require additional treatment to achieve the results you seek. Often more than one treatment is needed to achieve desired results. The dermal filler procedure is temporary and additional treatments will be required periodically to maintain results. If more treatments are needed the cost will still be per ml injected.